EDYN MCKINNON
NPI 1235595604
Nurse Practitioner - Psychiatric/Mental Health in Axson, GA

Active since January 14, 2016PECOS Enrolled
3950 GA HIGHWAY 64 E, AXSON, GA 31624(912) 592-3152(628) 246-8299 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2024, Dec 23, 2020, Jan 14, 2016 (3 updates tracked since 2016).

About Edyn Mckinnon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDYN MCKINNON (NPI 1235595604) is an individual psychiatric/mental health provider in Axson, Georgia, licensed in Georgia (RN216659) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235595604
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDYN MCKINNON
Location Address3950 GA HIGHWAY 64 EAxson, GA 31624-2032
Mailing Address3950 Ga Highway 64 EAxson, GA 31624-2032
Fax(628) 246-8299
Sole ProprietorNo
Enumeration DateJanuary 14, 2016
Last NPPES UpdateSeptember 7, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1235595604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN216659✔ Licensed in FL · 11021035
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN216659 (GA)
3950 GA HIGHWAY 64 E, Axson, GA 31624

Secondary Practice Locations 2

Location 1408 Shirley AveDouglas, GA 31533-2002 · Phone (912) 592-3152
Location 21101 ocilla rddouglas, GA 31533 · Phone (912) 384-1900

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edyn Mckinnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Edyn Mckinnon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
408 SHIRLEY AVE
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
1900 TEBEAU ST
Waycross, GA 31501
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group
Psychiatric Unit
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edyn Mckinnon's NPI number?

The NPI number for Edyn Mckinnon is 1235595604. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Edyn Mckinnon located?

Edyn Mckinnon practices at 3950 Ga Highway 64 E, Axson, GA 31624. The listed phone number is (912) 592-3152.

What is Edyn Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edyn Mckinnon enrolled in Medicare?

Yes. Edyn Mckinnon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edyn Mckinnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edyn Mckinnon reassigns Medicare benefits to 4 organizations: Compassionate Behavioral Health (Douglas, GA), Mayo Clinic Health System In Waycross, Inc. (Waycross, GA), Hospital Authority Of Jeff Davis County Georgia (Hazlehurst, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edyn Mckinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edyn Mckinnon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Edyn Mckinnon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edyn Mckinnon was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.